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HomeMy Public PortalAbout5218 ARDEN DR_Electrical__ 6AE63-CE806 5-62 APPLICATION - FOR ELECTRICAL' WAIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. FRECEPT. ,� TOTAL NO. EACH FEE OUTLE S FIRST 20 $20 $ vOWNERT MACH. ADD'L 10ADDRESS �� V'L OVER 2O /�HTING TOTAL F1R5T20 20 Z CITY TEL.NO.a zSS FIXTURES } I ADD'L 10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRES GARB.DISP. STA.COOK CITY TEL. O. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. . STA,APP.(1/.H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST gICT NO. GROUP ZONE. PROES B O 1 1.00 S (J 1 3 1.50 INSPECTION RECORD 3 a 2.00 8 is 2.50 G}. O 15 50 3.00 V 50 100 5.00 ix O SIGNS: NO.TRANS. NO.LAMPS W CL N SERVICE 0.600V-NOT OVER 200A 1.00 z SERVICEO.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2,00 SUP PLEMENTAFY PERMIT ISSUING FEE 1.00 ON TOTAL FEE � � 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING, WIRING (/��,>S. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 2.--IC7- Z-- CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEN�L PROPERTY./j/� POWER ' SIGNATURE aA}�,� UTILITY CO.NOTIFIED OF PERMITTEE _ v1 VALIDATIPW ARTHUR C. VEIT ({ CK MO CASH SUPERVISING ELECTRICAL ENGINEER 5 024-%D' OCT 1 2 D 3,00- llle� �a� '6 76A663-CE806 9-64 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST �p _P BUILDING AND SAFETY DIVISION A /✓ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING FOR APPLICANT TO FILL IN . RECEIPT. J TOTAL , NO. EACH FEE "� PLIGHT OUTLETS` FIRST 20 $20 $ OWNER fv6;e�- ADD'L 1O ADDRESSAl, Q Al W SITCH. _ OVER 20 TOTALF1Rsr 20 .20 CITY o TEL. NO. LIGHTING I )) FIXTURES }� I 2 10 ELECTRICIAN 6. C 1 OVER VER R't RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS674 14 r a Y m L GARB.DISP. STA.COOK CITY 6 0 V TEL. NO.3 I' �} DISHWASH. AUTO.-WASH. STATE De-- /(J L A/p Q Ile. LICENSE NCS. SPACE HTRS. STA.APP.(I/¢H.P.MAX.) .50 - MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP �ZIONE PR�OjC�ESSED BY O 1 1.00 �'a o T _+_/ 1 3 1.50 INSPECTION RECORD >- 3 S 2.00 n. O 8 15 2.50 V 15 50 3.00 50 100 5.00 V SIGNS: NO.TRANS Lu NO.LAMPS N _z SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0.60OV•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 (,r/ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 3 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT L.SIDE COUNTY ORDINANCES AND STATE LAWS REGULATING _ L WIRING. WIRING R Y .CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR FIXTURES ' AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �. , THE ABOVE DESCRIBED RESIDENTI l PROPER Y. POWER RE UTILITY CO.NOTIFIEDITTE FINAL VALMO SU E SUPERVISING G ELECTRICAL CK MO CA6H SUPERVISING ELECTRICAL ENGINEER L&O 2 0 0 5 x AY 13 2 D 3.8 0 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES i�Ic 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT i NO. GROUP I ZONE PERMIT NO. ELECTRICIAN R F 'u�al�Oil 9�9d`d Acacia BY READY FOR DATE ISSUED ADDRESS 5134 N. Ste 1 1/"" _ FIRST INSPECTION CITY San Gab. TEL. NO. T 68583 r COUNTY LICENSE NO.1104 EXPIRES BUILDING ADDRESS 5218 No Arden PERMIT FEES NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS 11 NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER - Celeste TOTAL OUTLETS 37 Sc $ 118-5 MAIL - ELEC. RANGES P5 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 s 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS ���NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROP DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH , 1/2 &LESS $ :25 SIGNATURE OF 1/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 Is 1.50 15 50 2.50 50 200 5.00 200 500 10.00 ..1 �j 500 1000 15.00 Q IZ OVER 1000 20.00 (� M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS MOTORS (75%of ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME' FOR EACH PERMIT: WIRING $1.00 I 11 00 CONDUIT' - FIXTURES $1.00 1 00 WIRING SUPPLEMENTARY .50 FIXTURES - POWER TOTAL FEE I $ 4 140 UTILITY CO. NOTIFIE.1 ® I{ 1` FINAL V WORKER S'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self' COUNTY OF LOS ANGELES `e BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or 41c, r.r e copy ther t(Sec. 3800, ab.C.) ✓ IS -;5 , � d,Il f SLFOR APPLICANT TO FILL IN JOB cy No. Company ���V EACH NO. FEE ADDRESS j ONew Residential Bldgs.&Pools ` Certified copy is hereby furnished. 1 &2-Famil'y,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST ertified copy is filed with th count uilding inspection CROSS ST d rtme t. Residential Swimming Pools OWNER OR FIRM NAME Datz �Applicant 1 Outlets: Rec._Light Svv. - MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FR WORKERS' Total No. Additional CITY Tel No } COMPENSATION INSURANCE' PLAN CHECK CL APPLICANT O (This section need not be completed if the work involved U by the permit is for one hundred dollars ,($100) or less.) Lighting Fixtures First 20 ADDRESS Additional cr_ Total No. 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel N permit is issued, I shall not employ any person in any manner PERMIT U so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT Oven _ Dryer_W.M. ADDRESS to Date Applicant Top _ FAU _W.H. Hood _ Fan _Other_ CITY Tel No -ZI(1( NOTICE TO APPLICANT: If, after making this Certificate of Disp. —:Room Air Cond._ LICEN EOR r Exemption,• you should become subject to the Workers' REG.NUMBE Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. Ulr _ Up to 1 Incl _ Over 1 to 10 Incl. FINAL DATE �_- LICENSED CONTRACTORS DECLARATION t VALIDATION Over 10 to 50 Incl. , I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. -FINAL 9 (commencing with Section 7000 of Division 3 of the Busi- BY ( g ) Over 100 ness and Professions.Code, and my license is in full force and effect. Se vices 'Y� C� 0-200 Amp. Under 600 V License Numbe t Lic.Class ry 01-1000 Amp. Under 600 V Contractor RI (0112-0Y K Date Over 1000 Amp.or Over 600 V 73 HOME OWNER-BUILDER DECLARATION Temp.Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Y2'5- Misc.Conduits&Conductors DI, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— # structure is not intended or offered for sale (Section 7044, Business and Professions Code). 2-4 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency o' 5 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE d o 0 w t 000 0 o No I certify that I have read this application and state that the TOTAL FEE Q N o 0 o Uj above information is orrect.I agree to comply with all County C71 N N _0 00 ordinan sand St a laws regulating Electrical wiring, and I' .-0 :O . o '� here uth0 'ze r esent tives oft is C unty to enter upon 00 Cn 0h0 ,p the e- do d pro rty for'n pec n Pur os s. SEE REVERSE FOR EXPLANATORY LANGUAGE N O O N 3> CH gnat re erfee Mate COUNTY OF LOS ANQELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0105020042 BUILDING AND SAFET7 / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15874 LT: 6 5218 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803317 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8585-019-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY JI GENERATORS +3-10HP 1.00 GEN 19.65 TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/02/01 UT 10/29/01 OWNER: TEL. NO: FINAL DAT FINAL BY: CODE: SMITH, HERMAN (626) 279-6109- /J 5218 ARDEN DRy TEMP 917803317 DESCRIPTION OF WORK ELECTRICAL & GAS GENERATOR APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �� ,� d_ ., APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO j� O P,* r �� x TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: �� �_—� I UFER GROUND iLIC. N0: 1�-� -� 11111 11 ROUGH CONDUIT I ROUGH WIRIN MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508